Healthcare Provider Details

I. General information

NPI: 1356532881
Provider Name (Legal Business Name): CAROLYN E GILES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 N EDGEWOOD AVE
CINCINNATI OH
45232-1742
US

IV. Provider business mailing address

4741 N EDGEWOOD AVE
CINCINNATI OH
45232-1742
US

V. Phone/Fax

Practice location:
  • Phone: 513-541-1285
  • Fax:
Mailing address:
  • Phone: 513-541-1285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: